Would you like to receive free help re-creating a new version of life... physically, mentally and emotionally? AFT invites the trauma survivor to participate in creative engagement as a tool to positively reconnect with themselves and their community.

Join Artists for Trauma

Please fill out the sign up form below. You can take a look at our Student Artist Agreement here. You can sign this after we get to know each other and you are ready to start.

Full Name*

How would you like to be addressed by the staff?

Other Information

Patient Information

Home Phone

Cell Phone

Work Phone

Email Address*

Address

City

State

Postal / Zip Code

Country

Primary Language

Primary Care Giver Information

Full Name

Home Phone

Cell Phone

Work Phone

History

If you are comfortable, tell us about your injury and how it happened (where, when, etc.)

Impact on body (facial, can't open mouth, amputee etc.)

Can you describe your mood (morning, mid-day, eve/night)?

Are you active or retired military?YesNo

If "Yes", rank?

Do you smoke?YesNo

Religious Preferences (optional)

About You

Restrictions

Food/Animal/Other Allergies

Interests/Hobbies

What art activities are you interested participating in?DanceMovementDigital PhotographyVideographyMusic/Voice/Instrument/DigitalPainting/Acrylic/WatercoloDrawing/PortraitsWriting

Art Activity Comments

Do you have something in mind that you want to create?YesNo

Can you describe it?

What electronics are you into, if any (iPhone, iPad, Playstation, Wii, etc.)?

Are you on Facebook?YesNo

Do you want us to add you as an AFT Facebook member?YesNo

Do you prefer?Phone CallsText MessagesEmails

Additional requests or comments

Any news links or things online that you would like us to see?

Short bio if you want to share. This does not have to be done now

Would you like your bio or pictures to be considered for this website?YesNo

Please indicateBio OnlyBio and PicturesWill Decide LaterNot at this Time

When are you available to participate?SundaysMondaysTuesdaysWednesdaysThursdaysFridaysSaturdays

Come see the many more success stories from our community of student and volunteer artists.

Become a Student

Are you or someone you know a trauma survivor? Artists for Trauma can help. Artists for Trauma provides a pathway for trauma survivors to re-connect with themselves and their communities, through private, one-on-one instruction in a wide range of artistic disciplines. This creative engagement has been shown repeatedly to be of great assistance in helping those who have suffered physical, mental or emotional trauma. AFT provides the instructor and all necessary art supplies free of charge. Participants progress at their own speed in a pressure-free environment.